Extra points

Lecturer: M.K. SASTRY

acupaincare.india@gmail.com
Cell no: 8473814247
**online seminar/classes will start in November
Huatuojiaji (Hua Tuo’s Paravertebral Points)

 0.5 to 1 cun lateral to

the depressions
below the spinous
processes of the
twelve thoracic and
five lumbar
vertebrae.
 Perpendicular-
oblique insertion
towards the spine,
0.5 to 1 cun. Note:
the intention of
needling these
 points is to stimulate
the appropriate
 Huatuojiaji (Hua Tuo’s Paravertebral Points)
1. local problems: spinal pain, arm pain, leg pain, nerve pain from
shingles….
Hemi-paralysis, spinal injury…
C1-C7: head, neck…
C4-C7: upper extremities
C3-T9: chest, thoracic cavity and its related internal organ
C5-L5: abdominal cavity and its related internal organ T11-
S2: lower back and sacral area…
L1-L4: pelvic cavity and related internal organ
L2-S2: lower extremities…

2. related internal organs problems: LU, HT, SP, LIV, KI… (substitute
for back-shu points)

3.balance the body: general pain, psycho-emotional problems…

(dragon cross, or just choose tender spots)
Sishencong 四神聪 Four
Alert Spirit Four points at the vertex of the
scalp, grouped around DU20 and
located 1 cun anterior, posterior
and lateral to it.

Transverse insertion 0.5-1.5 cun.

1.Local problems:
2. benefit brain, clear mind:
3.open orifice: psycho-emotional
problems
Yintang (Hall of
Impression)
At the glabella, at the midpoint between the
medial extremities of the eyebrows.
With the fingers of one hand pinch up the skin
over the point, and with the other hand needle
transversely in aninferior or lateral direction,
0.3-0.5 cun.
1. Pacifies wind and calms the “shen”:
2. local problems: eyes, nose, facial problems
Yuyao (Fish Waist)
In the centre of the eyebrow.

Transverse insertion medially or

laterally, 0.5 to 1 cun.

Local problems:
1. eyes problems:
2. eye lid:
3. headache:
 Qiuhou (Behind the Ball)

LOCATION
Along the inferior border of the orbit, at the junction of the lateral one quarter and
medial three quarters of the infra-orbital margin.
NEEDLING
Ask the patient to close their eyes and look upwards. Use a finger to push the
eyeball upwards and insert the needle, first slightly inferiorly, then perpendicularly,
between the eyeball and the inferior wall of the orbit, 0.5 to 1 cun.
Caution: i. the needle should be inserted slowly without lifting, thrusting or rotating;
ii.immediately on withdrawal of the needle, press firmly with a cotton wool ball for
about a minute to prevent haematoma;
iii.this needling method should not be attempted by those who have not had
appropriate clinical supervision.
Benefits the eyes
Taiyang - Sun (Supreme Yang)
At the temple, in the tender depression
approximately 1 cun posterior to the midpoint
between the lateral extremity of the eyebrow
and the outer canthus of the eye.
i.Perpendicular needling 0.5 to 0.8 cun;
ii.Transverse insertion posteriorly towards
Shuaigu GB-8, 1 to 1.5 cun;
iii. Oblique insertion anteriorly 0.3 to 0.5 cun;
iv. Prick to bleed.
1. local problems:
1)headache, dizziness,
2)painful around eyes, red eyes, burning or
itching of eyes, blurred vision…
Erjian (Tip of the
Ear) When the ear is folded forwards,
this point lies at the apex of the
ear.
i.Perpendicular insertion 0.1 cun
or prick to bleed;
ii. moxibustion 3-5 cones.
1. local:
2. clear heat, benefit the eyes:
Bitong (Penetrating the
Nose)
At the highest point of the naso-
labial groove.
Transverse insertion towards the
bridge of the nose 0.3 to 0.5 cun.
1. local problems
Bailao (Hundred
Taxations) At the back of the neck, 2 cun
superior to DU14, 1 cun lateral to
the midline.
Perpendicular insertion 0.5 to 0.8
cun.
1.local problems: stiff neck,
scrofula…
2.clear empty heat, benefit LU:
cough, asthma, spontaneous
sweating, night sweating…
(pulmonary TB)
Anmian (Peaceful
Sleep) Behind the ear, midway between
GB20 and SJ17.
Perpendicular insertion 0.5 to 1
cun.
1. calm “shen”: Insomnia, dream
disturb sleeping…
Jiachenjiang (Adjacent to
Container of Fluids)
1 cun lateral to REN24, over the mental
foramen.
i.Perpendicular-oblique insertion
medially and inferiorly into the mental
foramen, 0.3 to 0.5 cun;
ii. Transverse insertion 0.5 to 1.5 cun.
Local problems: facial problems, oral
cavity problems…
Jinjin Yuye (Golden Liquid &
Jade Fluid)
These paired points are located
on the veins either side of the
frenulum of the tongue, Jinjin to
the left and Yuye to the right.
Prick to bleed.

1.local problems: stiffness of

tongue, slurred speech, tongue
ucler…
2. wasting and thirsty
3. vomit, diarrhea…
Dingchuan (Calm
Dyspnea)
0.5 to 1 cun lateral to the depression
below the spinous process of the
seventh cervical vertebra (DU14).
Perpendicular-oblique insertion towards
the spine, 0.5 to 1 cun.
1.Stop asthma: cough, asthma…
2. local problems:
3.upper back: expel external wind,
upper extremities, calm “shen”
Weiguanxiashu (Stomach Controller
Lower Shu)
1.5 cun lateral to the lower border of
the spinous process of the eighth
thoracic vertebra (T8).
NEEDLING
Oblique insertion towards the spine,
0.5 to 1 cun, or transverse-oblique
insertion 1 to 1.5 cun.
Caution: perpendicular needling or
oblique needling away from the spine
carries a substantial risk of causing a
pneumothorax.
1.local problems:
2. digestive problems:
3.diabetes (back-shu point of
pancreas)
 Yaoyan (Lumbar Eyes),
Shiqizhuixia (Below the Seventeenth Vertebra)
Yaoyan shiqizhuixia
In the depression below the spinous
approximately 3.5 process of the fifth
cun lateral to the lumbar vertebra.
lower border of L4
Perpendicular insertion, 1 to 1.5 cun.

Local problems: lower back pain…

Zigong (Palace of the Child (Uterus)),
Tituo (Lift and Support)
zigong Tituo
On the lower abdomen, On the lower abdomen,
3 cun lateral to the 4 cun lateral to the
midline, level with RN3. midline, level with RN4.
( 3 cun lateral to RN3) (4 cun lateral to RN4)
i.Perpendicular insertion 0.8 to 1.2 cun;
ii.For prolapse of the uterus: Direct the needle
from points towards RN2 through the muscular
layer. Then rotate the needle until it wraps the
muscle fibres, firmly pull it upwards and outwards,
and tape it to the skin in thisraised position for 20-
30 minutes.
1. local problems:
1) abdominal pain, gas, bloatiing…
2) reproductive problems: esp. GYN problems
3) prolapse of internal organs
Sanjiaojiu (Triangle
Moxibustion) On the lower abdomen.
Construct an equilateral
triangle of which the apex is
the umbilicus, and the sides
are equal to the length of the
patient’s smile. These points
are located at the three points
of the triangle.
moxibustion only
1.local problems: reproductive
problems, pain around the
umbilicus, hernia…
Shixuan (Ten
Diffusions)
On the tips of the ten fingers,
approximately 0.1 cun from the
fingernail.
Three-edge needle prickle.

1.local problems:
2.Loss of consciousness, wind
stroke, summer-heat stroke,
febrile disease, swelling and
pain of the throat, acute
childhood fright wind…
Sifeng (Four Seams)
On the palmar surface of the hand,
at the midpoints of the transverse
creases of the proximal
interphalangeal joints of the index,
middle, ring and little fingers.
Prick to bleed, or prick and squeeze
until a yellow-white liquid appears.

Childhood nutritional impairment,

childhood accumulation disorder,
childhood diarrhea, whooping
cough.
Baxie (Eight
Pathogens)
When the hand is made into a fist,
six of these points lie in the
depressions between
the metacarpal heads, proximal to
the web margins.

Perpendicular insertion along the

line between the shafts of the
metacarpal bones, 0.5 to 1 cun.

Local problems:
Yaotongxue (Lumbar
Pain Point) On the dorsum of the hand, two
points located between the
second and third and the fourth
and fifth metacarpal bones, in
the depressions lying
immediately distal to the bases
of the metacarpals.

Perpendicular insertion 0.5 to 1

cun.

1. Acute lumbar sprain.

Luozhen (Stiff
Neck) On the dorsum of the hand, in the
depression just proximal to the second
and third metacarpophalangeal joints.

Perpendicular or oblique insertion

directed proximally, 0.5 to 1 cun.

1.problems along neck: Stiffness

and pain of the neck, inability to turn
the head, headache, pain of the
shoulder and arm.
2.gastro-intestinal problems: Pain of
the epigastrium, diarrhea, acute and
chronic childhood fright wind
Erbai (Two Whites)
On the flexor aspect of the
forearm, 4 cun proximal to P7,
either side of the tendon of flexor
carpi radialis.

Perpendicular insertion, 0.5 to 1

cun or oblique proximal insertion
1 to 1.5 cun.

1. Problems around the anus:

Hemorrhoids, prolapse of the
rectum, itching of the anus, blood
in the stool, tenesmus.
Zhoujian (Elbow
Tip)
On the tip of the olecranon
process of the ulna.

This point is treated by

moxibustion only.

1. Transform phlegm:
Scrofula, carbuncles and
furuncles, deep-rooted
ulcers, intestinal abscess.
Jianqian (Front of the
Shoulder)
On the anterior aspect of the
shoulder joint, midway between
the anterior axillary crease and LI
15.

i.Perpendicular insertion 1 to 1.5

cun;
ii.Oblique or oblique-transverse
insertion distally towards the
elbow, 2 to 3 cun.
Local problems
Baichongwo (Hundred Insect
Burrow)
1 cun proximal to SP10.

Perpendicular or oblique
insertion 1 to 1.5 cun.

1.local problems: Soreness of

the leg…
2.expel wind: wind rash, itching
of the skin.
Xiyan (Eyes of the Knee), Heding (Crane’s Summit)
Heding Xiyan
In the On the knee, in the hollows
depression at formed when the knee is flexed,
the midpoint of immediately below the patella and
the superior both medial and lateral to the
border of the patellar ligament.
patella.
Perpendicular With the knee flexed and
insertion 0.5 to supported by a rolled pillow,
1 cun. i.Perpendicular insertion, directed
towards BL40, 1 to 2 cun;
ii.Oblique insertion in a medial
and superior direction, behind the
patella 1 to 2 cun;
iii.Through-needling between
lateral and medial Xiyan, behind
the patellar ligament.
Local problems:
 Lanweixue (Appendix Point)
DanLangxue (Gallbladder Point)
Lanweixue Danlangxue
Approximately Between 1 and 2 cun
2 cun distal to distal to GB34.
ST36.
Perpendicular insertion 1 to 1.5 cun.
1. local problems:
1. Appendix 1. Gallbladder
problems: problems: Acute and
Acute and chronic cholecystitis,
chronic acute and chronic
appendicitis, cholelithiasis, disease of
indigestion… the bile duct, biliary
ascariasis, distention
and pain of the lateral
costal region…
Bafeng (Eight
Winds) On the dorsum of the foot,
between the toes, 0.5 cun
proximal to the margin of the web.

Oblique insertion directed

proximally, 0.5 to 1 cun.

1.Local problems
2.clear heat (LIV2, ST44, GB43 –
ying-spring point)
 THANK YOU

**online seminar will be staring in November.

OUR CLINIC:
2ND FLOOR, JKON BUILDING
Opp. Sonaram Field, Sonaram High School
Bharalamukh, Guwahati-781009
Copy right: M K SASTRY